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Senior ER Coding Auditor

Exceptional Healthcare Inc.

DALLAS, TX

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JOB DETAILS
SKILLS
Auditing, Billing, Calibration, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Coaching, Code Reviews, Content Management Systems (CMS), Current Procedural Terminology (CPT), Documentation, Electronic Medical Records, Emergency Care, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Common Procedure Coding System (HCPCS), ICD-10, Maintain Compliance, Medical Coding, Medical Record System, Medical Records, Mentoring, Offshoring, Outpatient Care, Performance Analysis, Quality Management, Quality Metrics, Regulations, Reimbursement, Revenue Management, Standard Operating Procedures (SOP), Team Lead/Manager, Training/Teaching, Trend Analysis
LOCATION
DALLAS, TX
POSTED
30+ days ago
Job Summary (Par time-Potential for Fulltime)
The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.
 Key Responsibilities
  • Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes
  • Validate E/M level selection for emergency department visits
  • Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA)
  • Identify under coding, over coding, and documentation deficiencies 
  • Prepare detailed audit reports with corrective recommendations
  • Provide education and feedback to coders and providers
  • Train and mentor offshore coding teams on ER coding guidelines and audit findings
  • Conduct regular quality review sessions and calibration meetings with offshore staff
  • Develop and update training materials, Review SOPs, and coding guidelines
  • Monitor offshore team performance and provide ongoing coaching
  • Track audit findings and identify trends to improve coding quality
  • Assist in denial management and revenue cycle improvement
  • Stay current with coding updates and industry changes
Required Certifications (MANDATORY)
One or more of the following:
  • CPC / CPC-A (Certified Professional Coder)
  • CCS (Certified Coding Specialist)
  • COC (Certified Outpatient Coder)
  • CPMA (Certified Professional Medical Auditor) – Highly Preferred
Qualifications
  • Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing required
  • At least 1–2 years of auditing experience
  • Prior experience training or managing offshore teams preferred
  • Strong knowledge of ER-specific coding and E/M guidelines
  • Experience with EHR/EMR systems

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Exceptional Healthcare Inc.

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